Burke Medical Group LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042.616914 Issued in IL

Legal business name

BURKE MEDICAL GROUP LTD

Practice address

3700 W 203Rd Street
Suite 310
Olympia Fields, IL 60461-1182

Phone

(708) 748-7500

Fax

(708) 748-8090

NPI assigned

May 4, 2007

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathryn R Burke, DO

Title

Physican President

Phone

(708) 748-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L. Weymouth, D.O.

  • Surgery Physician
  • Lihue, HI
  • NPI 1790869840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1083826713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 203RD STREET",
            "address_2": "SUITE 310",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-748-7500",
            "fax_number": "708-748-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD STREET",
            "address_2": "SUITE 310",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-748-7500",
            "fax_number": "708-748-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAN  PRESIDENT",
        "authorized_official_telephone_number": "708-748-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042.616914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Oneal Brown Jr., DO
• Carol Bruell, MSW LCSW
• BTF Care NFP
• Laila Budhwani, CRNA
• An Di Bui
• Kathryn R Burke, DO
• Mary F. Burke, M.D.
• Sharon S Burke, M.D.
• Busy Bodies LLC
• Autumn Butler

• Family Medicine Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.